Eric Austin Prouty
ActiveCalifornia license 32651
License
- Licensed by
- Dental Board of California
- License number
- 32651
- Status
- Active (Current)
- First issued
- July 17, 1984
- Expires
- July 31, 2027
- License holder
- Eric Austin Prouty
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2 Cuervo Dr
Aliso Viejo, CA 92656-1742
Aliso Viejo, CA 92656-1742
Orange County